Misty Lee Fenton, M.ED., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 10818 Issued in FL

Practice address

4100 W Kennedy Blvd
Suite 326
Tampa, FL 33609-2288

Phone

(813) 400-3344

Fax

(813) 288-6907

NPI assigned

Jan 17, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1457622896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 W SAN MIGUEL ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295949",
            "telephone_number": "850-585-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD",
            "address_2": "SUITE 326",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092288",
            "telephone_number": "813-400-3344",
            "fax_number": "813-288-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "MISTY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel V Fennell
• Darrell Wayne Fennell Jr., LMHC
• Robin Fennell, RN
• Gabriela Fenollal Maldonado
• Chelsea B Fenton, D.M.D.
• Denise Ferhat Feradov, MD
• Jessica Venise Feraud
• Cindy Michelle Ferdinand, OTA
• Heather Lea Ferencz, BA
• Michael James Ferentino, P.A.

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.